双重资格特殊需要计划的入学率和退学率
David J Meyers1, Eliza Macneal2, Kendra Offiaeli1
1Department of Health Services, Policy, and Practice, Brown University School of Public Health, Providence, Rhode Island.
完全整合的双重符合条件的特殊需求计划 (FIDE-SNP) 在医疗保险受益者中显示出较低的退学率. 这些计划可能会提供更好的护理体验,因此需要进一步调查它们对患者护理的影响.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 卫生政策 卫生政策
- 老年学是一门学科.
背景情况:
- 双重符合条件的医疗保险和医疗补助受益者有很高的护理需求.
- 在医疗保险优势 (MA) 中支持这一群体是关键的政策目标.
研究的目的:
- 调查不同医疗保险优势计划类型与受益人退学之间的关联.
- 评估各种MA计划的退学率,为双重符合条件的个人提供服务.
主要方法:
- 采用双重资格受益人的2021年医疗保险入学数据进行横截面研究.
- 分析比较了完全集成的双重符合条件的特殊需求计划 (FIDE-SNP),仅协调的D-SNP,D-SNP相似的和标准的MA计划的退学情况.
主要成果:
- 与只有协调的D-SNP (18.3%),D-SNP相似的 (30.5%) 和标准的MA计划 (28.2%) 相比,FIDE-SNP的退学率最低 (8.1%).
- 在黑人受益者和那些医疗保健利用率更高的人群中,包括住院和养老院护理,观察到更高的退学率.
结论:
- 似乎FIDE-SNP的会员保留率更高,这表明潜在的更好的护理体验.
- 需要进一步的研究来了解FIDE-SNPs影响患者护理和满意度的机制.
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